Impact of Intraurethral Lidocaine on Cystometric Parameters and Patient Discomfort: A Randomized Controlled Trial

Compared to placebo, using lidocaine jelly during urodynamic studies resulted in approximately equivalent volumes for strong urge to void and no significant differences in other filling or voiding metrics, and lidocaine provided greater improvement in participants' overall impression of discomf...

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Published inUrologic nursing Vol. 42; no. 5; pp. 237 - 257
Main Authors Hicks, Christina, Schaffer, Joseph I, Pruszynski, Jessica E, Rahn, David D
Format Journal Article
LanguageEnglish
Published Portland Jannetti Publications, Inc 01.09.2022
Anthony J. Jannetti, Inc
Subjects
Bladder
Catheterization
Catheters
Clinical trials
Electromyography
Females
Intubation
Lidocaine
Local anesthesia
Lubrication and lubricants
Multiple sclerosis
Pain
Parkinson's disease
Patient satisfaction
Reproducibility
Womens health
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Abstract Compared to placebo, using lidocaine jelly during urodynamic studies resulted in approximately equivalent volumes for strong urge to void and no significant differences in other filling or voiding metrics, and lidocaine provided greater improvement in participants' overall impression of discomfort.
AbstractList Compared to placebo, using lidocaine jelly during urodynamic studies resulted in approximately equivalent volumes for strong urge to void and no significant differences in other filling or voiding metrics, and lidocaine provided greater improvement in participants' overall impression of discomfort.
Compared to placebo, using lidocaine jelly during urodynamic studies resulted in approximately equivalent volumes for strong urge to void and no significant differences in other filling or voiding metrics, and lidocaine provided greater improvement in participants' overall impression of discomfort. Key Words Urodynamics, urinary bladder, overactive, visual analog scale, pelvic pain, urinary catheterization, anesthetics, local.
Significance of Research If use of a local anesthetic jelly for catheter insertion has no meaningful effect on urodynamic test results but provides improvement in procedure-related discomfort for some patients, changing practice from use of aqueous jelly to intraurethral 2% lidocaine jelly for urodynamic testing could improve patient satisfaction and comfort. Eligible patients were consented by either a research study coordinator licensed vocational nurse (LVN), registered nurse (RN), or the urodynamicist nurse practitioner (NP) for study participation prior to urodynamic testing, which was performed by a qualified NP in the field of female pelvic medicine and reconstructive surgery. Exclusion criteria were diagnoses of pelvic pain, interstitial cystitis, or bladder pain syndrome; known neurogenic disease impacting voiding/continence (e.g., Parkinson disease, multiple sclerosis, myasthenia gravis, recent stroke); active urinary tract infection; pelvic organ prolapse that was unable to be easily reduced during testing; pregnancy; breastfeeding; and/or allergy or hypersensitivity to lidocaine or local anesthetics. A continuous pain scale from 0 to 100 mm visual analog scale (VAS) was used by the patient to report her pain level during both UDS tests: cystometry #1 (during catheter insertion and at maximum cystometric capacity), PFS #1, overall UDS #1; cystometry #2 (during catheter insertion and at maximum capacity), PFS #2, and overall UDS #2 discomfort.
Audience General
Author Hicks, Christina
Rahn, David D
Pruszynski, Jessica E
Schaffer, Joseph I
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Copyright COPYRIGHT 2022 Jannetti Publications, Inc.
Copyright Anthony J. Jannetti, Inc. Sep/Oct 2022
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Snippet Compared to placebo, using lidocaine jelly during urodynamic studies resulted in approximately equivalent volumes for strong urge to void and no significant...
Significance of Research If use of a local anesthetic jelly for catheter insertion has no meaningful effect on urodynamic test results but provides improvement...
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SubjectTerms Bladder
Catheterization
Catheters
Clinical trials
Electromyography
Females
Intubation
Lidocaine
Local anesthesia
Lubrication and lubricants
Multiple sclerosis
Pain
Parkinson's disease
Patient satisfaction
Reproducibility
Womens health
Title Impact of Intraurethral Lidocaine on Cystometric Parameters and Patient Discomfort: A Randomized Controlled Trial
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